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New Jersey

Cost of a Hernia Repair Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's dense healthcare infrastructure supports over 6,400 active Hernia Repair providers across the state's 21 counties, making it one of the most provider-rich markets in the region. Based on recent negotiated rate data, patients typically pay between $309 and $1,435 for Hernia Repair visits, with a median cost of $475. Browse all Hernia Repair providers in New Jersey to find the best match for your needs and budget.

Average

$740

Median

$475

Lowest

$309

Highest

$1,435

Providers

6,484

National avg: $843New Jersey: $740

12% below national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in New Jersey?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$952$1,422$4,5886,486
Hip Replacement

Total hip replacement (arthroplasty)

27130$953$1,424$4,5906,528
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$625$1,3806,526
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$412$578$1,8456,494
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$388$664$1,8276,521
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$340$546$1,6696,585
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$1,045$2,0936,519
Septoplasty

Nasal septum repair

30520$406$566$1,4116,484
Tonsillectomy

Tonsillectomy, primary or secondary

42820$170$273$8336,523
Mastectomy

Partial or simple mastectomy

19301$314$558$1,4466,513
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$519$2,1196,490

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 49505Repair initial inguinal hernia, age 5 or older). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 49505 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 49505 (Repair initial inguinal hernia, age 5 or older), as mandated by the CMS Price Transparency Rule.

What CPT 49505 covers: the provider's professional fee for inguinal hernia repair. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in New Jersey

These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

4/5
84% would recommend907 patient surveys
3/5
81% would recommend2,632 patient surveys
3/5
78% would recommend1,326 patient surveys
3/5
77% would recommend343 patient surveys
VALLEY HOSPITAL

PARAMUS, NJ

3/5
76% would recommend1,308 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Hernia Repair Visit Costs Vary Across New Jersey

Healthcare costs in New Jersey run approximately 17% above national averages, driven by the state's high cost of living and concentrated population centers. The Garden State's proximity to major metropolitan areas creates unique pricing pressures that affect surgical specialty care.

Urban vs. Rural Provider Availability

Northern New Jersey's proximity to New York City creates intense competition among surgical practices, while South Jersey's more rural counties may have fewer options but lower overhead costs. The concentration of academic medical centers around Newark and New Brunswick tends to drive up regional pricing through higher facility fees.

Facility Type and Overhead Costs

Major health systems like RWJBarnabas Health and Hackensack Meridian dominate New Jersey's surgical landscape, often charging premium rates through hospital-based outpatient departments. Independent surgical centers and ambulatory surgery facilities typically offer more competitive pricing for routine hernia repairs.

Insurance Market Competition in New Jersey

While Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare provide reasonable market competition, their negotiated rates with major health systems create price stability that may not always benefit consumers. The state's regulatory environment supports moderate insurer competition without the aggressive rate negotiations seen in more deregulated markets.

Physician Supply and Demand in New Jersey

With over 6,400 active providers performing hernia repairs across the state, New Jersey enjoys robust surgical capacity that should theoretically moderate pricing. However, high population density and proximity to major metropolitan areas maintain steady demand that prevents significant price competition among established practices.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hernia Repair Costs in New Jersey

What is the average cost of a Hernia Repair visit in New Jersey without insurance?

Uninsured patients in New Jersey typically pay between $309 and $1,435 for hernia repair consultations, with a median cost of $475. These prices reflect negotiated rates that insurers pay, and many providers offer self-pay discounts of 20-40% for cash payments. The final cost depends on whether you need imaging studies, the complexity of your case, and the type of facility you visit.

Does New Jersey Medicaid cover Hernia Repair visits?

Yes, New Jersey's expanded Medicaid program covers medically necessary hernia repair consultations and surgical procedures. You'll need to see providers who accept Medicaid, and some plans may require prior authorization for surgery. Most routine hernia repairs are considered medically necessary and qualify for coverage, though cosmetic or elective procedures may have different requirements.

How do I find an affordable Hernia Repair near me in New Jersey?

Compare costs between hospital-based outpatient departments and independent surgical centers, as the latter often charge 30-50% less for similar services. Ask about self-pay discounts if you're uninsured, and consider community health centers or teaching hospitals that may offer sliding-scale fees. Many facilities in New Jersey provide price estimates upfront if you explain your financial situation.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial hernia repair consultations typically cost between $309-$1,435 based on complexity and time spent, while follow-up visits usually run $150-$400 depending on whether additional imaging or procedures are needed. Post-operative follow-ups are generally less expensive than initial diagnostic visits, and many surgical packages include several follow-up appointments in the total fee.

Can I use an HSA or FSA to pay for a Hernia Repair visit in New Jersey?

Yes, hernia repair consultations and surgical procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these tax-advantaged funds to pay deductibles, copays, and any out-of-network costs. Keep all receipts and documentation, as the IRS requires proper medical expense verification for HSA and FSA reimbursements.

How does telemedicine affect the cost of seeing a Hernia Repair in New Jersey?

While physical examination is usually necessary for hernia diagnosis, some New Jersey surgeons offer virtual consultations for initial discussions about symptoms and treatment options, typically costing $75-$200. Telehealth can be useful for pre-operative education or post-operative follow-ups, but most insurance plans require in-person evaluation before approving surgical procedures. Virtual visits can help you screen potential surgeons before committing to more expensive office visits.

Click a state to compare costs

Average Visit Cost

$337
$1,784

Office visit (CPT 49505)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,784
2Iowa
Range: $457$2,449
$1,346
3Alaska
Range: $440$2,338
$1,154
4Massachusetts
Range: $397$2,168
$1,133
5Montana
Range: $378$2,328
$1,120
6Georgia
Range: $421$1,969
$1,097
7South Dakota
Range: $439$2,034
$1,081
8Wyoming
Range: $628$1,642
$1,050
9New Hampshire
Range: $504$1,521
$1,002
10Nebraska
Range: $637$1,214
$994
11Washington
Range: $592$1,594
$984
12Minnesota
Range: $344$1,787
$970
13Rhode Island
Range: $440$1,521
$940
14North Dakota
Range: $437$1,537
$894
15Maine
Range: $630$1,022
$883
16Utah
Range: $374$1,150
$883
17California
Range: $423$1,216
$871
18Oregon
Range: $440$1,399
$866
19North Carolina
Range: $426$1,453
$859
20District of Columbia
Range: $381$1,221
$834
21Connecticut
Range: $368$1,435
$824
22New Mexico
Range: $465$1,226
$821
23West Virginia
Range: $381$1,378
$806
24Missouri
Range: $493$1,027
$804
25Colorado
Range: $441$1,242
$798
26Michigan
Range: $440$1,216
$797
27Delaware
Range: $330$1,435
$789
28Illinois
Range: $90$1,569
$789
29Pennsylvania
Range: $333$1,448
$781
30Idaho
Range: $438$1,197
$775
31Hawaii
Range: $426$1,149
$769
32New York
Range: $364$1,435
$768
33Kentucky
Range: $396$1,220
$763
34Vermont
Range: $391$1,271
$753
35Arkansas
Range: $461$1,043
$746
36New Jersey
Range: $309$1,435
$740
37Indiana
Range: $90$1,448
$722
38Mississippi
Range: $409$1,251
$718
39Tennessee
Range: $440$1,016
$705
40South Carolina
Range: $391$1,170
$705
41Texas
Range: $407$1,086
$699
42Alabama
Range: $356$1,111
$688
43Louisiana
Range: $383$1,052
$681
44Kansas
Range: $493$872
$667
45Virginia
Range: $358$1,079
$664
46Maryland
Range: $381$1,079
$653
47Oklahoma
Range: $429$991
$647
48Ohio
Range: $328$1,039
$638
49Nevada
Range: $423$859
$596
50Arizona
Range: $432$882
$585
51Florida
Range: $35$920
$337
Inguinal Hernia Repair in Other States